Survey shows lower levels of youth e-cigarette use, but experts still concerned

August 22, 2016, Indiana University

The 26th Indiana Youth Survey, conducted by the Indiana Prevention Resource Center at Indiana University's School of Public Health-Bloomington, highlights a decrease in the use of e-cigarettes among students in Grades 7 to 12. But experts say more needs to be done to curb use among youth.

"We are concerned by the numbers of youth using electronic vapor products, as well as traditional tobacco products, such as cigarettes," Indiana Prevention Resource Center executive director Ruth Gassman said. "All tobacco or nicotine-based products have health risks."

Among the findings:

  • Indiana 12th-graders reported using electronic cigarettes at a rate of 20.9 percent, which is greater than the national rate of 16.2. The same students used tobacco cigarettes at a rate of 14.1 percent, compared to 11.4 percent of seniors surveyed nationally. Tobacco use in general decreased for all students except ninth-graders.
  • Electronic cigarettes or vape pens were the most popular nicotine-containing substance used by youth in the month before the survey was administered. This is the second year the survey has asked about use of electronic vapor products.

The 2016 survey results presented in this news release are based on a unique random sample of 24,761 students from 113 schools. In previous years, the survey results were based only on a convenience sampling approach that invited/welcomed any and all schools to participate. The random sample removes potential bias from uneven sampling in certain areas and allows the results to be better compared with larger, national random sampling surveys. The results from this sample provide more accurate state-level estimates compared to those generated from the convenience sample. The 2016 survey report available online also includes a section on the convenience sample of 107,801 students in Grades 6 through 12 at 398 public and nonpublic schools.

The findings address the following issues: e-cigarette and tobacco use, alcohol use, marijuana use, methamphetamine use, , gambling, mental health, parental deployment or incarceration, and risk and protective factors.

Other drug use

Prescription drug use continues to be a serious health problem among adults, with Indiana's opioid use problem making national headlines. But most Indiana youth are not abusing prescription drugs, according to the survey, with 93.5 percent of students indicating they did not use prescription drugs to get high.

School-age youth are unlikely to use heroin, with a rate of less than 1 percent, or less than one in 100 students, for all grades.

"We note that youth use of heroin is not following adult trends, and we hope that continuing efforts by health educators and communities lower the rates even further," Gassman said.

Marijuana use among sixth-graders was reported at 1.3 percent over the past 30 days. Students in the eighth grade reported 6.3 percent use, which was lower than the national rate of 6.5 percent. Tenth-graders used at a rate of 12.1 percent, compared to 14.8 percent nationally. Use among seniors, at 21.1 percent, is similar to the national rate of 21.3 percent. Sixth-graders were not asked about Spice, or synthetic marijuana. Eighth-graders reported 0.9 percent use of Spice, while 1.7 percent of 10th-graders and 1.5 percent of 12th-graders used it.

Alcohol use more prevalent in older youth

Alcohol continues to be an easily available drug frequently used by older students. Sixth-graders reported that 3.7 percent used alcohol during the past 30 days. The number of students drinking increased to 12.7 percent for eighth-graders, compared to the national rate of 9.7 percent; 20.9 percent for 10th-graders, compared to the national rate of 21.5 percent; and 33.4 percent for seniors in high school, compared to 35.3 percent nationally. Seniors also reported binge drinking (five or more drinks in a row) at a rate of 16.4 percent. Nationwide, 17.2 percent of 12th-graders had had five or more drinks in a row on at least one day in the previous month.

The most common source of alcohol for students was their own parents or guardians.


For most drugs and in all grades, the percentage of male users was higher than the percentage of female users. However, the percentage of females in Grades 8 to 10 who used cigarettes, , over-the-counter drugs, marijuana and alcohol (including binge drinking) was higher than males.

Gambling behaviors higher among eighth-graders

Youth were asked about whether they had gambled in the previous 12 months, including playing card games, the lottery, bingo, online gambling and sports betting. These rates are not compared with national figures because there is not a yearly national survey.

Students in the eighth grade gambled at higher levels than 10th- and 12th-graders in the categories of personal games of skill, sports betting, bingo, online gambling, personal challenges and other forms of gambling. Eighth-grade engaged in sports betting at a rate of 18.9 percent, while 12th-graders gambled on sports at a rate of 15.2 percent. However, eighth-graders reported playing the lottery at a rate of 10.4 percent in the past year, whereas 23.3 percent of 12th-graders purchased lottery tickets. Lottery ticket purchase is legal for 18-year-olds.

Students were also asked about consequences brought about by gambling, including problems with friends and family, losing money or possessions, academic problems, issues with the legal system, and feeling bad about gambling.

"Monitoring the prevalence of gambling activities among youth is important for planning prevention efforts," said Mary Lay, project manager of the Indiana Problem Gambling Awareness Program. "Gambling can be a recreational outlet for adults, but casinos are only for those 21 years or older, and the lottery is not legal for anyone under 18."

Two versions of the survey were given this year—one to sixth-graders and one to seventh- through 12th-graders. The survey instrument for sixth-graders uses simpler language and asks about fewer substances. Schools participating in the survey had the option to add up to 15 questions specific to their community, and several corporations took advantage of this opportunity.

Explore further: Survey: E-cigs surpass regular cigs in teen use

Related Stories

Survey: E-cigs surpass regular cigs in teen use

December 16, 2014
Electronic cigarettes have surpassed traditional smoking in popularity among teens, the government's annual drug use survey finds.

Survey: E-cigs surpass regular cigs in teen use (Update 2)

December 16, 2014
Electronic cigarettes have surpassed traditional smoking in popularity among teens, the government's annual drug use survey finds.

Gambling is associated with 'risk-taking behavior' in young teens, study finds

February 4, 2016
Gambling among young teens may be associated with increased use of alcohol, cigarettes, or marijuana according to a study that surveyed sixth- to eighth-graders in Italian schools. The research is reported in the February ...

Drug use trends remain stable or decline among teens

December 16, 2015
The 2015 Monitoring the Future survey (MTF) shows decreasing use of a number of substances, including cigarettes, alcohol, prescription opioid pain relievers, and synthetic cannabinoids ("synthetic marijuana"). Other drug ...

Indiana: Upward trend in marijuana use, smokeless tobacco

September 1, 2011
Alcohol use by Indiana sixth- through 12th-graders has declined, but findings from the 21st Annual Survey of Alcohol, Tobacco, and Other Drug Use also revealed a continuing increase in marijuana and smokeless tobacco use.

Teen prescription opioid abuse, cigarette, and alcohol use trends down

December 16, 2014
Use of cigarettes, alcohol, and abuse of prescription pain relievers among teens has declined since 2013 while marijuana use rates were stable, according to the 2014 Monitoring the Future (MTF) survey, released today by the ...

Recommended for you

Small changes in diet can have a big impact on health

March 19, 2018
How's that New Year's resolution coming along? Getting ready for summer and want to look your best? Just want to feel better physically? Whatever your motivation, Mercedes Sotos-Prieto, an assistant professor of nutrition ...

Multiple screen use affects snack choices

March 19, 2018
Using multiple screen devices simultaneously while snacking may influence food choices, according to a new Michigan State University study.

Exposure to low levels of BPA during pregnancy can lead to altered brain development

March 17, 2018
New research in mice provides an explanation for how exposure to the widely used chemical bisphenol A (BPA) during pregnancy, even at levels lower than the regulated "safe" human exposure level, can lead to altered brain ...

The coffee cannabis connection

March 15, 2018
It's well known that a morning cup of joe jolts you awake. But scientists have discovered coffee affects your metabolism in dozens of other ways, including your metabolism of steroids and the neurotransmitters typically linked ...

Smoking linked with higher risk of type 2 diabetes

March 15, 2018
The prevalence of diabetes has increased almost 10-fold in China since the early 1980s, with one in 10 adults in China now affected by diabetes. Although adiposity is the major modifiable risk factor for diabetes, other research ...

Key drivers of high US healthcare spending identified

March 13, 2018
The major drivers of high healthcare costs in the U.S. appear to be higher prices for nearly everything—from physician and hospital services to diagnostic tests to pharmaceuticals—and administrative complexity.


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.